Routine hiv screening in cancer patients in the emergency department

Terry W. Rice; Patricia A. Brock; Carmen Gonzalez; Kelly W. Merriman; Zeena Shelal; Hadil Bazerbashi; Bruno P. Granwehr

doi:10.52964/AMJA.0705

Routine hiv screening in cancer patients in the emergency department

Terry W. Rice, Patricia A. Brock, Carmen Gonzalez, Kelly W. Merriman, Zeena Shelal, Hadil Bazerbashi, Bruno P. Granwehr

Infectious Diseases, Infection Control, and Employee Health

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Treatment of human immunodeficiency virus(HIV) in cancer patients improves outcomes and reduces transmission of this oncogenic virus. HIV testing rates of cancer patients are similar to the general population (15-40%), despite the association with cancer. Our aim was to increase HIV screening in the Emergency Department(ED) of a comprehensive cancer center through a quality initiative. Testing increased significantly during the intervention (p<0.001; 0.15/day to 2.69/day). Seropositive HIV rate was 1.4% (12/852), with incidence of 0.3%. All patients were linked to care. Incident cases were between 36 and 55 years of age. Barriers encountered included confusion regarding the need for written consent for HIV testing, failure to consider ordering the test, and concerns regarding linkage to care.

Original language	English (US)
Pages (from-to)	91-95
Number of pages	5
Journal	Acute Medicine
Volume	17
Issue number	2
DOIs	https://doi.org/10.52964/AMJA.0705
State	Published - 2018

Keywords

Cancer
HIV
Oncology
Opt-out testing

ASJC Scopus subject areas

Internal Medicine
Emergency Medicine
Critical Care and Intensive Care Medicine

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10.52964/AMJA.0705

Cite this

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abstract = "Treatment of human immunodeficiency virus(HIV) in cancer patients improves outcomes and reduces transmission of this oncogenic virus. HIV testing rates of cancer patients are similar to the general population (15-40%), despite the association with cancer. Our aim was to increase HIV screening in the Emergency Department(ED) of a comprehensive cancer center through a quality initiative. Testing increased significantly during the intervention (p<0.001; 0.15/day to 2.69/day). Seropositive HIV rate was 1.4% (12/852), with incidence of 0.3%. All patients were linked to care. Incident cases were between 36 and 55 years of age. Barriers encountered included confusion regarding the need for written consent for HIV testing, failure to consider ordering the test, and concerns regarding linkage to care.",

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AU - Rice, Terry W.

AU - Brock, Patricia A.

AU - Gonzalez, Carmen

AU - Merriman, Kelly W.

AU - Shelal, Zeena

AU - Bazerbashi, Hadil

AU - Granwehr, Bruno P.

PY - 2018

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N2 - Treatment of human immunodeficiency virus(HIV) in cancer patients improves outcomes and reduces transmission of this oncogenic virus. HIV testing rates of cancer patients are similar to the general population (15-40%), despite the association with cancer. Our aim was to increase HIV screening in the Emergency Department(ED) of a comprehensive cancer center through a quality initiative. Testing increased significantly during the intervention (p<0.001; 0.15/day to 2.69/day). Seropositive HIV rate was 1.4% (12/852), with incidence of 0.3%. All patients were linked to care. Incident cases were between 36 and 55 years of age. Barriers encountered included confusion regarding the need for written consent for HIV testing, failure to consider ordering the test, and concerns regarding linkage to care.

AB - Treatment of human immunodeficiency virus(HIV) in cancer patients improves outcomes and reduces transmission of this oncogenic virus. HIV testing rates of cancer patients are similar to the general population (15-40%), despite the association with cancer. Our aim was to increase HIV screening in the Emergency Department(ED) of a comprehensive cancer center through a quality initiative. Testing increased significantly during the intervention (p<0.001; 0.15/day to 2.69/day). Seropositive HIV rate was 1.4% (12/852), with incidence of 0.3%. All patients were linked to care. Incident cases were between 36 and 55 years of age. Barriers encountered included confusion regarding the need for written consent for HIV testing, failure to consider ordering the test, and concerns regarding linkage to care.

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Routine hiv screening in cancer patients in the emergency department

Abstract

Keywords

ASJC Scopus subject areas

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